2024 AOSSM Annual Meeting Recordings NON-CME-General Session Shoulder Instability

Video Transcription

Video Summary

The event begins with the hosts, Drs. Carolyn Hetrich and Brett Owens, welcoming attendees and guiding them on using the conference app for schedules, handouts, polling, and questions. Then, Dr. Jeff K. from McMaster University presents a study on arthroscopic Bankart repair for anterior shoulder instability in adolescent athletes. He highlights that multiple dislocation episodes prior to surgery significantly increase the risk of recurrent instability and the need for revision surgery. Factors such as Hill-Sachs lesions, younger age, and participation in contact sports also increase this risk.<br /><br />Dr. Hintz discusses a 20-year follow-up study on arthroscopic Bankart repair, noting a high rate of revision surgeries and recurrent instability over time. Patients not undergoing revision surgery had good shoulder function and low pain levels, although preoperative hyperlaxity was a risk factor for postoperative instability.<br /><br />Dr. Wong presents on five-year outcomes of Bankart repair vs. arthroscopic anatomic glenoid augmentation (AAGR), showing lower dislocation rates with AAGR compared to Bankart. Complications included hardware irritation but no significant progression to arthritis.<br /><br />Dr. Hurley reviews outcomes of the open Latter-Jay procedure in athletes, demonstrating high satisfaction, low recurrent instability rates, and successful return to sport. Factors influencing satisfaction included return to play, pain, and avoidance of re-operations.<br /><br />The session concludes with technique videos on distal tibial allograft and open Latter-Jay procedures, demonstrated by Dr. Wong and Dr. Millett respectively, highlighting their methods and postoperative outcomes.

Asset Caption

1:15 pm - 2:15 pm

Meta Tag

Concept Arthroscopic Bankart Procedure

Concept Recurrent Instability

Concept Anterior Shoulder Instability

Concept Open Latarjet Procedure

Concept Revision Surgery

Speaker Carolyn Hettrich, MD, MPH

Speaker Carolyn HettrichBrett D. Owens, MD MD, MPH

Speaker Jeffrey Kay, MD, MSc, FRCSC

Speaker Maximilian Hinz, MD

Speaker Ivan H. Wong, MD, FRCSC, MAcM, Dip. Sports Med

Speaker Eoghan Hurley, MD, PhD

Speaker Peter Millet, MD, MSc

Keywords

arthroscopic Bankart repair

anterior shoulder instability

adolescent athletes

Hill-Sachs lesions

glenoid augmentation

Latter-Jay procedure

revision surgery

shoulder function

Carolyn Hettrich, MD, MPH

Brett D. Owens, MD

Jeffrey Kay, MD, MSc, FRCSC

Maximilian Hinz, MD

Ivan H. Wong, MD, FRCSC, MAcM, Dip. Sports Med

Eoghan Hurley, MD, PhD

Peter Millet, MD, MSc

Carolyn HettrichBrett D. Owens, MD MD, MPH

Arthroscopic Bankart Procedure

Recurrent Instability

Anterior Shoulder Instability

Open Latarjet Procedure

Revision Surgery